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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Prof Adam Watts
-
Adam.C.Watts@wwl.nhs.uk


Mrs Elizabeth Cook
+44 (0)1904 321522
liz.cook@york.ac.uk


More information about this study, what is involved and how to take part can be found on the study website.

Study Location:

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Be Part of Research - Trial Details - A comparison of two methods of surgical fixation for the treatment of simple olecranon fractures in adults

A comparison of two methods of surgical fixation for the treatment of simple olecranon fractures in adults

Medical Conditions

Olecranon fracture


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Fractures (a break in the bone) of the olecranon (bony point of the elbow) are common and usually happen after a fall onto the elbow. The risk of having this fracture increases as we get older. If a patient is well enough they usually have surgery to fix the fracture as a day case. Commonly the bone is held using tension band wiring technique, a metal wire bent around the bone and two smooth pins. This is effective in holding the position for the fracture to heal. However, the wires can cause pain because they lie just under the skin. One in three patients will have a second operation to remove the wires, exposing them to further surgical risks and resulting in increased costs to the National Health Service. Another way to hold the bone is to use a strong material cord (tension suture fixation). Some small studies looking at this technique have shown that this can reliably hold the bones in a good position while they heal and that the patient does not experience any discomfort from the prominence of the suture material. One small study found the need for further surgery was reduced to less than one in twenty. This is better for the patients and could save the NHS about 4 million pounds a year but a larger study is needed to confirm this finding. This study aims to compare two methods of surgical treatment for adult patients with olecranon fractures to find out which has a better patient outcome in terms of return to function.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

13 Oct 2020 31 Dec 2022

Publications

2023 Protocol article in https://pubmed.ncbi.nlm.nih.gov/36641631/ (added 24/01/2023)

Participants are randomly allocated to either receive surgery using tension suture repair or tension band wiring to fix the fracture. Participants are assessed at the start of the study, then at 4, 12 and 18 months, and some participants at 2 years. Participants complete a few questionnaires, an assessment of elbow range of motion (at 4 months), and have x-rays to check healing at 4 months. The cost of both treatments is calculated relative to their benefits to find out which is better value for money for the NHS.


Patients aged 16 years or older who attend a participating hospital with an olecranon fracture

You can take part if:



You may not be able to take part if:


1. Surgery contra-indicated2. Gustillo and Anderson grade 2 or 3 open injury3. Associated upper limb injuries or prior upper limb pathology adversely affecting function4. Evidence of fracture comminution (Mayo Grade IIB) or instability around the elbow and/or forearm (Mayo Grade III)5. Evidence that the patient would be unable to adhere to trial procedures or complete questionnaires6. Previous entry into SOFFT7. Concurrent olecranon fracture in the opposite limb


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • North Bristol NHS Trust
    Southmead Hospital Southmead Road Westbury-on-trym
    Bristol
    BS10 5NB
  • Brighton and Sussex University Hospitals NHS Trust
    Royal Sussex County Hospital Eastern Road
    Brighton
    BN2 5BE
  • Oxford University Hospitals NHS Foundation Trust
    John Radcliffe Hospital Headley Way Headington
    Oxford
    OX3 9DU
  • Sheffield Teaching Hospitals NHS Foundation Trust
    Northern General Hospital Herries Road
    Sheffield
    S5 7AU
  • Hampshire Hospitals NHS Foundation Trust
    Basingstoke and North Hampshire Hos Aldermaston Road
    Basingstoke
    RG24 9NA
  • University College London Hospitals NHS Foundation Trust
    250 Euston Road
    London
    NW1 2PG
  • Royal United Hospitals Bath NHS Foundation Trust
    Combe Park
    Bath
    BA1 3NG
  • Royal Cornwall Hospitals NHS Trust
    Royal Cornwall Hospital Treliske
    Truro
    TR1 3LJ
  • Royal Devon and Exeter NHS Foundation Trust
    Royal Devon & Exeter Hospital Barrack Road
    Exeter
    EX2 5DW
  • Homerton University Hospital NHS Foundation Trust
    Homerton Row
    London
    E9 6SR
  • Barts Health NHS Trust
    The Royal London Hospital 80 Newark Street
    London
    E1 2ES
  • James Paget University Hospitals NHS Foundation Trust
    Lowestoft Road Gorleston
    Great Yarmouth
    NR31 6LA
  • Milton Keynes University Hospital NHS Foundation Trust
    Standing Way Eaglestone
    Milton Keynes
    MK6 5LD
  • Liverpool University Hospitals NHS Foundation Trust
    Royal Liverpool University Hospital Prescot Street
    Liverpool
    L7 8XP
  • Wirral University Teaching Hospital NHS Foundation Trust
    Arrowe Park Hospital Arrowe Park Road Upton
    Wirral
    CH49 5PE
  • Whittington Health NHS Trust
    The Whittington Hospital Magdala Avenue
    London
    N19 5NF
  • Kingston Hospital NHS Foundation Trust
    Galsworthy Road
    Kingston upon Thames
    KT2 7QB
  • Cambridge University Hospitals NHS Foundation Trust
    Addenbrookes Hospital
    Cambridge
    CB2 0AU
  • Lewisham and Greenwich NHS Trust
    University Hospital Lewisham Lewisham High Street
    London
    SE13 6LH
  • Frimley Health NHS Foundation Trust
    Portsmouth Road Frimley
    Camberley
    GU16 7UJ
  • Calderdale and Huddersfield NHS Foundation Trust
    Trust Headquarters Acre Street Lindley
    Huddersfield
    HD3 3EA
  • North Cumbria Integrated Care NHS Foundation Trust
    Pillars Building Cumberland Infirmary Infirmary Street
    Carlisle
    CA2 7HY
  • Cardiff and Vale University Health Board
    Cardiff and Vale UHB Headquarters University Hospital of Wales (UHW) Heath Park Cardiff
    Cardiff
    CF14 4XW
  • Epsom and St Helier University Hospitals NHS Trust
    St Helier Hospital Wrythe Lane
    Carshalton
    SM5 1AA
  • Bradford Teaching Hospitals NHS Foundation Trust
    Bradford Royal Infirmary Duckworth Lane
    Bradford
    BD9 6RJ
  • University Hospitals of Leicester NHS Trust
    Leicester General Hospital Gwendolen Road
    Leicester
    LE5 4PW
  • East and North Hertfordshire NHS Trust
    Lister Hospital Coreys Mill Lane
    Stevenage
    SG1 4AB
  • The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
    Gobowen
    Oswestry
    SY10 7AG
  • Southport and Ormskirk Hospital NHS Trust
    Town Lane
    Southport
    PR8 6PN
  • The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust
    Queen Elizabeth Hospital Gayton Road
    King's Lynn
    PE30 4ET
  • Somerset NHS Foundation Trust
    Musgrove Park Hospital
    Taunton
    TA1 5DA
  • Kings College Hospital NHS Foundation Trust
    Kings College Hospital Denmark Hill
    London
    SE5 9RS
  • Wrightington, Wigan and Leigh NHS Foundation Trust (Lead Site)
    Wrightington Hospital Hall Lane Appley Bridge
    Wigan
    WN6 9EP
  • NHS Lothian
    Edinburgh Royal Infirmary Royal Infirmary of Edinburgh 51 Little France Crescent
    Edinburgh
    EH16 4SA
  • North West Anglia NHS Foundation Trust
    Peterborough City Hospital Bretton Gate
    Peterborough
    PE3 9GZ
  • Greater Glasgow Health Board
    Glasgow Royal Infirmary 84 Castle Street
    Glasgow
    G4 0SF
  • Tayside Health Board
    Ninewells Hospital
    Dundee
    DD1 9SY
  • Betsi Cadwaladr University Local Health Board
    Ysbyty Gwynedd Penrhos Garnedd
    Bangor
    LL57 2PW
  • St George's University Hospitals NHS Foundation Trust
    Blackshaw Road Tooting
    London
    SW17 0QT
  • Maidstone & Tunbridge Wells NHS Trust
    The Tunbridge Wells Hospital Tonbridge Road
    Pembury
    TN2 4QJ

Within the trial, participants allocated to receive tension suture repair may experience benefit as they may be less likely to require a second surgery to remove the fixation material, thereby reducing the risks associated with surgery and the inconvenience for the patient, though the purpose of the study is to provide evidence regarding this.
This study only includes treatments that are already used in the NHS but as with many medical procedures, there are some potential risks, mainly in relation to the surgery and anaesthesia. Most commonly, patients may experience pain around the arm. This usually improves after 48 hours or so as the body heals. Some patients feel nauseous or light-headed after surgery due to the anaesthetic, which usually passes over 24 hours. It is rare, but some people can have a bad reaction to anaesthesia. Severe allergic reactions to anaesthesia are very rare, less than 1 in 1000. Specific common risks to the tension wiring banding technique include that further surgical procedures may need to be carried out, for example, to remove the metalwork as it may be uncomfortable, move or fail. Based on clinical experience it is estimated that one in five may require removal. No specific common risks with tension suture repair technique have been identified. This is a newer technique and risks may include a need to re-operate if the fixation fails.

Prof Adam Watts
-
Adam.C.Watts@wwl.nhs.uk


Mrs Elizabeth Cook
+44 (0)1904 321522
liz.cook@york.ac.uk



More information about this study, what is involved and how to take part can be found on the study website.


The study is sponsored by Wrightington, Wigan and Leigh NHS Foundation Trust and funded by NIHR Evaluation, Trials and Studies Co-ordinating Centre (NETSCC); Grant Codes: 127739.




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Read full details for Trial ID: ISRCTN87904264

Or CPMS 45217

Last updated 19 June 2024

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